Active NPI
Bryan Ray, LPC
- Professional Counselor
- Graham, TX
National Provider Identifier
1023058765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14450
- Practice address
- 617 3Rd St
Graham, TX 76450-3101 - Phone
- (940) 549-2259
- Fax
- (940) 549-2886
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14450 | TX | Primary |
Addresses
Primary practice location
617 3Rd St
Graham, TX 76450-3101
Mailing address
617 3Rd St
Graham, TX 76450-3101
Phone (940) 549-2259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095843102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14450 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andra Ray | Professional | Current | Accepting new patients |
| Ray and Ray Counseling Services | Professional | Current | Accepting new patients |
Locations
617 3rd St
Graham, TX 76450
Phone (940) 549-2259
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Wichita Falls, TX
- NPI 1114144482
-
- Psychiatric/Mental Health Nurse Practitioner
- Graham, TX
- NPI 1841415650
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1023058765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 3RD ST",
"city": "GRAHAM",
"state": "TX",
"postal_code": "764503101",
"telephone_number": "940-549-2259",
"fax_number": "940-549-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 3RD ST",
"city": "GRAHAM",
"state": "TX",
"postal_code": "764503101",
"telephone_number": "940-549-2259",
"fax_number": "940-549-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "BRYAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2024-02-07",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095843102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Graham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.